DIANE CAROL LANGE-GOLUBSKI Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004996

License Status

INACTIVE

Business

First Name

DIANE

Middle

CAROL

Last Name

LANGE-GOLUBSKI

Business Name

DIANE CAROL LANGE-GOLUBSKI

Original Issue Date

09/15/1998

Effective Date

01/07/2004

Expiration Date

12/31/2005

City

ST LOUIS

State

Zip

63125

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/25/2005